Counts Flashcards
in court cases for retained object, what percent of record counts reviewed were accurate?
%80
why are counts performed?
- patient and personnel safety
- infection control
- inventory
define: gossypiboma / textiloma
a retained foreign object made of woven textile
MMC count sheet 1-5
- 4x4s
- Laps
- Blades
- Bovies
- Hypos
omitted counts
- extreme cases when count is not possible
- documented in the patients record
- incident report filed by circulator
counts: cesarean section (4)
- time of set up
- uterus is closed
- peritoneum is closed
- just before skin is closed
incorrect count
- not required to document generation of incident report*
- name of person documenting count
- actions occurred to resolve count
- results of X-rays taken
(true or false)
if needle is left in body surgeon may opt not to search/retrieve for it
true
looking for the needle could cause more damage than the needle itself
SOP if package of sponges contains incorrect number
- hand back to circulator
- sponges must be isolated/labeled or brought out of room
(true or false)
do not add or remove sponges from the sterile field during a sponge count until the count is verified as complete and correct
true
should counted sponges be taken out of the OR during the procedure?
no
should radiopaque sponges be used as dressing material?
never
when should dressings be presented to the sterile field?
only after the final count is completed
SOP broken needle / blade
both scrub/circulator must make sure all pieces are recovered and accounted for
on what basis should needles be given to the surgeon?
exchange basis, when returned when another is passed (when possible)
